Landlord Interim Billing Agreement Form - Rocky Mountain Power
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2Rocky Mountain Power Landlord Agreement
(Page 1 of 2)
By signing this agreement, I understand that I am responsible for paying the electric bill for all properties listed,
whenever the bill is not in another customer’s name. Generally, this will be the interim period between the
occupancy of tenants; however, this may include time when the property is occupied by the tenant but they have
failed to establish service with Rocky Mountain Power. Therefore, I accept responsibility for ensuring the renters of
my properties put the bill into their name on dates specified between myself and my tenants.
While the billing is in my name, I understand that I will be considered a customer with regards to rules and
regulations established by the utility. I understand that failure to pay the electric bill may result in termination of this
agreement. I understand if I sell this property or choose to terminate this agreement for any reason, I must contact
Rocky Mountain Power to terminate this agreement.
While the billing is in the name of the tenant, this landlord agreement becomes inactive. I have the right to make
changes and request information for my own account; however, I will not be able to make changes to my tenants’
accounts without their prior consent. In the event the tenant does not pay the electrical account, the power may be
discontinued for non-payment of bills. Rocky Mountain Power is not liable for any damages incurred at the property
due to a loss of power at the address. In the event the tenant does not make satisfactory payment to have the
power turned back on the tenant’s account will be closed. When I request the power be restored, my landlord
agreement will be opened and I will be responsible for all future billings.
If I do not want the electric service turned off if the tenant becomes past due, I agree to the following paragraph for
the terms and conditions by initialing the box.
By initialing the box to the left, I am requesting Rocky Mountain Power place the electric service in my
name should routine collections occur with my tenant. I understand the electric service will not be
discontinued for my tenant and that on the date and time the service would have been disconnected,
the landlord agreement will become “active” and the electric service will be placed into my name and
account. I authorize this form as my Application for Service. I understand the tenant’s unpaid charges
do not apply to me. However, regardless of occupancy I will continue to be responsible for future
billings even if the tenant still occupies the property. The electricity will remain in my name until the
tenant has paid the required charges and requested a reconnection for the account.
Landlord Account Number: _______________________________________________________________
(Note: If you do not have an existing account, please complete an Application for Service on our website,
rockymountainpower.net/landlord, or call us toll-free any time at 1-888-221-7070.)
Mailing Address: _________________________________________________________________________
City:
_________________________________________________ State:
_____
Zip: _________
Property Address*:
_________________________________________________________________
City:
_________________________________________________ State:
_____
Zip: _________
*Additional property address may be submitted on page 2
Owner’s Name: ____________________________
Owner’s Name: ____________________________
Signature: _______________________________
Signature: _______________________________
Date: ____________________________________
Date: ____________________________________
Primary Phone #: (_____)____________________
Primary Phone #: (_____)____________________
Property Manager Name: _____________________________ Phone #: (_____)____________________
I authorize the property manager/management company listed above to make changes to my account with Rocky
Mountain Power.
To start receiving the benefits of the Landlord Agreement program, please complete and return this application either by
toll-free fax, 1-800-340-7812, or mail to: Rocky Mountain Power, PO Box 25308, Salt Lake City, UT 84125-0308
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